Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS KELLEY NICOLE MOORE, PHARMD
Active Sole ProprietorMISS KELLEY NICOLE MOORE, PHARMD is a Pharmacist healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1417313784 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1417313784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2016 (10.618869845088 yrs)
- Last Updated
- Jan 2, 2016
- License
-
121059 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3745 LOUISIANA AVE SST LOUIS PARK, MN, 554264361Browse MN providers · Browse ZIP 55426
- Phone
- 9529260170
- Fax
- 9529261125
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. MOLLY JO EKSTRAND | R.PH. | 1093712390 |
| MR. STEVE E PAULI | RPH | 1447236682 |
| MS. SARAH ELIZABETH GROEN | PHARMD | 1336126325 |
| MIKE LEDOUX | — | 1053341990 |
| JENNIFER RISS | PHARM.D. | 1619981818 |
| JOYCE K LEE | PHARM D | 1811051832 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.